Paramedic Rapid Sequence Intubation (RSI) Demonstration

[@clareeastlake2518]

Currently in my first year of my masters of paramedicine and this was a great demonstration that will be referring to quite a lot thankyou very much

[@lindseyblackburn9219]

Although this representation is intended for your paramedic students, this serves as a phenomenal resource to review prior to my RSI quiz as a nurse anesthesia student. I am rather impressed by your explanation using such detailed medical terminology. Not only did you provide a textbook example, you also articulated word for word textbook knowledge. Job well done!

[@romansten9]

Good video. One thought on adding PEEP to your BVM prior to intubation, as you suggest at the beginning. A GOOD idea in theory. However, realize that you are attempting to provide even more pressure to an airway that is not isolated. Of course this is very likely to increase gastric distention as air takes the path of least resistance into the stomach, and provides little or no actual PEEP to the lungs.

[@michaldotl]

Hi. Not true. Until you won't exceed 15cm of H2O pressure passive insufflation won't happen - esophageal sphincter prevents that, given the fact that BVM actually generates less than you set it won't happen for sure - it was documented in studies. ALSO in some patients (extremely obese, pneumonia etc) without using peep there is no way to preox well or there will be rapid desaturation after induction of anesthesia because of rapid derecrutiment of alveoli which causes physiological shunting.

[@paramedic-matthewmacleod9377]

Please see Scott Weingart, MD and Richard Levitan, MD Article published in the Annals of Emergency Medicine emcrit.org/preoxygenation/

[@vascongonga6503]

Great video, like the accronyms used and the. Just an add on the prior action, suggestion on adding padding under the patietns shoulders to assist with the view after paralysis and induction. otherwise FANTASTIC

[@romansten9]

I also like to elevate the head and shoulders and use positioning to maximize the view. Otherwise, good video.

[@brettboggust4036]

The "I" is for induction